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Cost can also be a deciding factor

For patients enrolled in commercial health plans that use these formularies, the out-of-pocket differential between a non-preferred branded drug and a preferred generic can be substantial often the difference between a $5 to $15 co-pay for the generic and a $50 to $150 co-pay for the branded version

Reported effects are generally mild injection-site reactions, fatigue, nausea, lightheadedness

Patients and clinicians should remain alert to symptoms such as a new neck lump, hoarseness, or difficulty swallowing, and seek prompt medical assessment if these occur